دورية أكاديمية
Corticosteroid injection versus immobilisation for the treatment of De Quervain's tenosynovitis: A systematic review and meta-analysis.
| العنوان: | Corticosteroid injection versus immobilisation for the treatment of De Quervain's tenosynovitis: A systematic review and meta-analysis. |
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| المؤلفون: | Cevik J; Department of Plastic and Reconstructive Surgery, Peninsula Health, Frankston, Victoria, 3199, Australia; Peninsula Clinical School, Central Clinical School, Faculty of Medicine, Monash University, Frankston, Victoria, 3004, Australia. Electronic address: jevancevik@gmail.com., Keating N; St Vincent's Hospital Melbourne, 41 Victoria Parade, Fitzroy, Victoria, 3065, Australia., Hornby A; The Royal Children's Hospital, 50 Flemington Road, Parkville, Victoria, 3052, Australia., Salehi O; Department of Plastic and Reconstructive Surgery, Peninsula Health, Frankston, Victoria, 3199, Australia; Peninsula Clinical School, Central Clinical School, Faculty of Medicine, Monash University, Frankston, Victoria, 3004, Australia., Seth I; Department of Plastic and Reconstructive Surgery, Peninsula Health, Frankston, Victoria, 3199, Australia; Peninsula Clinical School, Central Clinical School, Faculty of Medicine, Monash University, Frankston, Victoria, 3004, Australia., Rozen WM; Department of Plastic and Reconstructive Surgery, Peninsula Health, Frankston, Victoria, 3199, Australia; Peninsula Clinical School, Central Clinical School, Faculty of Medicine, Monash University, Frankston, Victoria, 3004, Australia. |
| المصدر: | Hand surgery & rehabilitation [Hand Surg Rehabil] 2024 Jun; Vol. 43 (3), pp. 101694. Date of Electronic Publication: 2024 Apr 18. |
| نوع المنشور: | Systematic Review; Journal Article; Meta-Analysis; Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Masson SAS Country of Publication: France NLM ID: 101681801 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2468-1210 (Electronic) Linking ISSN: 24681210 NLM ISO Abbreviation: Hand Surg Rehabil Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Issy-les-Moulineaux : Elsevier Masson SAS, [2016]- |
| مواضيع طبية MeSH: | De Quervain Disease*/drug therapy , De Quervain Disease*/therapy, Humans ; Immobilization ; Glucocorticoids/administration & dosage ; Adrenal Cortex Hormones/administration & dosage ; Adrenal Cortex Hormones/therapeutic use ; Injections |
| مستخلص: | Objective: De Quervain's tenosynovitis causes pain and impairment of thumb function. Conservative treatments comprise corticosteroid injection and immobilization, and it is unclear which offers greater efficacy. Previous reviews were limited by the small number of included studies; thus an updated review and meta-analysis is warranted. Methods: A systematic review of the PubMed, Embase, and Web of Science databases was conducted. Randomized control trials comparing corticosteroid injection to immobilization were included. Two authors screened articles, extracted data, and assessed the risk of bias of included studies. Meta-analyses using the random-effects model were conducted, calculating pooled relative risks and mean differences with 95% confidence intervals. Results: 16 studies comprising 1206 patients were included. Corticosteroid injection showed greater treatment success than immobilization (relative risk: 1.61; 95% confidence interval: 1.21-2.15). Combining treatments demonstrated greater efficacy than immobilization (relative risk: 2.15; 95% confidence interval: 1.77-2.62) or injection alone (relative risk: 1.23; 95% confidence interval: 1.12-1.34). Pain and disability scores were lower with injection than immobilization and with combined treatment than with either alone. Conclusion: Corticosteroid injection is more effective than immobilization for De Quervain's tenosynovitis, and combining the two treatments provides additional benefit. We recommend corticosteroid injection in first line treatment and immobilization as adjuvant therapy. Further research is required regarding optimal corticosteroid and local anesthetic formulations. (Copyright © 2024 SFCM. Published by Elsevier Masson SAS. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Corticosteroid injections; De Quervain’s tenosynovitis; Immobilization |
| المشرفين على المادة: | 0 (Glucocorticoids) 0 (Adrenal Cortex Hormones) |
| تواريخ الأحداث: | Date Created: 20240420 Date Completed: 20240615 Latest Revision: 20240822 |
| رمز التحديث: | 20240823 |
| DOI: | 10.1016/j.hansur.2024.101694 |
| PMID: | 38642740 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2468-1210 |
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| DOI: | 10.1016/j.hansur.2024.101694 |